|
MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITH CC
|
Facility
|
IP
|
$67,192.41
|
|
|
Service Code
|
MSDRG 253
|
| Min. Negotiated Rate |
$25,651.00 |
| Max. Negotiated Rate |
$67,192.41 |
| Rate for Payer: Aetna of CA HMO/PPO |
$67,192.41
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$43,403.55
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$58,427.96
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$54,556.11
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,620.98
|
| Rate for Payer: EPIC Health Plan Senior |
$28,608.13
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,608.13
|
| Rate for Payer: InnovAge PACE Commercial |
$42,912.19
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,608.13
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$38,334.89
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$38,334.89
|
| Rate for Payer: Multiplan WC |
$54,556.11
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$28,608.13
|
| Rate for Payer: Preferred Health Network WC |
$55,669.50
|
| Rate for Payer: Prime Health Services Medicare |
$30,324.62
|
| Rate for Payer: Prime Health Services WC |
$53,999.42
|
| Rate for Payer: United Healthcare All Other Commercial |
$43,936.00
|
| Rate for Payer: United Healthcare All Other HMO |
$38,236.00
|
| Rate for Payer: United Healthcare HMO Rider |
$29,046.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$26,610.00
|
|
|
MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITH MCC
|
Facility
|
IP
|
$90,284.70
|
|
|
Service Code
|
MSDRG 252
|
| Min. Negotiated Rate |
$25,651.00 |
| Max. Negotiated Rate |
$90,284.70 |
| Rate for Payer: Aetna of CA HMO/PPO |
$90,284.70
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$58,320.23
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$78,508.13
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$73,305.64
|
| Rate for Payer: EPIC Health Plan Commercial |
$51,216.66
|
| Rate for Payer: EPIC Health Plan Senior |
$37,938.27
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$37,938.27
|
| Rate for Payer: InnovAge PACE Commercial |
$56,907.40
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$37,938.27
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$50,837.28
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$50,837.28
|
| Rate for Payer: Multiplan WC |
$73,305.64
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$37,938.27
|
| Rate for Payer: Preferred Health Network WC |
$74,801.67
|
| Rate for Payer: Prime Health Services Medicare |
$40,214.57
|
| Rate for Payer: Prime Health Services WC |
$72,557.62
|
| Rate for Payer: United Healthcare All Other Commercial |
$42,180.00
|
| Rate for Payer: United Healthcare All Other HMO |
$41,854.00
|
| Rate for Payer: United Healthcare HMO Rider |
$31,795.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$29,128.00
|
|
|
MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$56,697.00
|
|
|
Service Code
|
MSDRG 254
|
| Min. Negotiated Rate |
$19,823.00 |
| Max. Negotiated Rate |
$56,697.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$46,042.46
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$29,741.55
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,036.77
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$37,383.65
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,084.78
|
| Rate for Payer: EPIC Health Plan Senior |
$20,062.80
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$20,062.80
|
| Rate for Payer: InnovAge PACE Commercial |
$30,094.20
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,062.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26,884.15
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26,884.15
|
| Rate for Payer: Multiplan WC |
$37,383.65
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$20,062.80
|
| Rate for Payer: Preferred Health Network WC |
$38,146.58
|
| Rate for Payer: Prime Health Services Medicare |
$21,266.57
|
| Rate for Payer: Prime Health Services WC |
$37,002.18
|
| Rate for Payer: United Healthcare All Other Commercial |
$56,697.00
|
| Rate for Payer: United Healthcare All Other HMO |
$28,481.00
|
| Rate for Payer: United Healthcare HMO Rider |
$21,636.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$19,823.00
|
|
|
MS-DRG 42.00: OTITIS MEDIA AND URI WITH MCC
|
Facility
|
IP
|
$29,866.80
|
|
|
Service Code
|
MSDRG 152
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$29,866.80 |
| Rate for Payer: Aetna of CA HMO/PPO |
$29,866.80
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$19,292.73
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$25,971.03
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$24,250.01
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,266.47
|
| Rate for Payer: EPIC Health Plan Senior |
$13,530.72
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,530.72
|
| Rate for Payer: InnovAge PACE Commercial |
$20,296.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,530.72
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,131.16
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,131.16
|
| Rate for Payer: Multiplan WC |
$24,250.01
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,530.72
|
| Rate for Payer: Preferred Health Network WC |
$24,744.91
|
| Rate for Payer: Prime Health Services Medicare |
$14,342.56
|
| Rate for Payer: Prime Health Services WC |
$24,002.56
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: OTITIS MEDIA AND URI WITHOUT MCC
|
Facility
|
IP
|
$18,731.23
|
|
|
Service Code
|
MSDRG 153
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$18,731.23 |
| Rate for Payer: Aetna of CA HMO/PPO |
$18,731.23
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$12,099.61
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$16,287.97
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$15,208.61
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,217.78
|
| Rate for Payer: EPIC Health Plan Senior |
$9,050.21
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,050.21
|
| Rate for Payer: InnovAge PACE Commercial |
$13,575.32
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,050.21
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,127.28
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,127.28
|
| Rate for Payer: Multiplan WC |
$15,208.61
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,050.21
|
| Rate for Payer: Preferred Health Network WC |
$15,518.99
|
| Rate for Payer: Prime Health Services Medicare |
$9,593.22
|
| Rate for Payer: Prime Health Services WC |
$15,053.42
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC
|
Facility
|
IP
|
$73,914.28
|
|
|
Service Code
|
MSDRG 406
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$73,914.28 |
| Rate for Payer: Aetna of CA HMO/PPO |
$73,914.28
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$47,745.61
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$64,273.04
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$60,013.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$42,287.43
|
| Rate for Payer: EPIC Health Plan Senior |
$31,324.02
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$31,324.02
|
| Rate for Payer: InnovAge PACE Commercial |
$46,986.03
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,324.02
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$41,974.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$41,974.19
|
| Rate for Payer: Multiplan WC |
$60,013.86
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$31,324.02
|
| Rate for Payer: Preferred Health Network WC |
$61,238.63
|
| Rate for Payer: Prime Health Services Medicare |
$33,203.46
|
| Rate for Payer: Prime Health Services WC |
$59,401.47
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC
|
Facility
|
IP
|
$142,877.96
|
|
|
Service Code
|
MSDRG 405
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$142,877.96 |
| Rate for Payer: Aetna of CA HMO/PPO |
$142,877.96
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$92,293.33
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$124,241.23
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$116,008.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$79,903.60
|
| Rate for Payer: EPIC Health Plan Senior |
$59,187.85
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$59,187.85
|
| Rate for Payer: InnovAge PACE Commercial |
$88,781.77
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$59,187.85
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$79,311.72
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$79,311.72
|
| Rate for Payer: Multiplan WC |
$116,008.14
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$59,187.85
|
| Rate for Payer: Preferred Health Network WC |
$118,375.65
|
| Rate for Payer: Prime Health Services Medicare |
$62,739.12
|
| Rate for Payer: Prime Health Services WC |
$114,824.38
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$56,212.12
|
|
|
Service Code
|
MSDRG 407
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$56,212.12 |
| Rate for Payer: Aetna of CA HMO/PPO |
$56,212.12
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$36,310.74
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$48,879.92
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$45,640.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,631.79
|
| Rate for Payer: EPIC Health Plan Senior |
$24,171.70
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,171.70
|
| Rate for Payer: InnovAge PACE Commercial |
$36,257.55
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,171.70
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,390.08
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,390.08
|
| Rate for Payer: Multiplan WC |
$45,640.80
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$24,171.70
|
| Rate for Payer: Preferred Health Network WC |
$46,572.24
|
| Rate for Payer: Prime Health Services Medicare |
$25,622.00
|
| Rate for Payer: Prime Health Services WC |
$45,175.07
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: PANCREAS TRANSPLANT
|
Facility
|
IP
|
$209,841.39
|
|
|
Service Code
|
MSDRG 010
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$209,841.39 |
| Rate for Payer: Aetna of CA HMO/PPO |
$129,300.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$209,841.39
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$135,548.97
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$182,470.08
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$170,378.33
|
| Rate for Payer: Blue Distinction Transplant |
$115,254.00
|
| Rate for Payer: Blue Shield of California Transplant |
$95,000.00
|
| Rate for Payer: Caremore Medicare Advantage |
$86,243.52
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$89,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$116,428.75
|
| Rate for Payer: EPIC Health Plan Senior |
$86,243.52
|
| Rate for Payer: Health Plan of Nevada (Sierra) Transplant |
$70,000.00
|
| Rate for Payer: Heritage Provider Network Transplant |
$77,857.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$86,243.52
|
| Rate for Payer: InnovAge PACE Commercial |
$129,365.28
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$86,243.52
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$115,566.32
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$115,566.32
|
| Rate for Payer: Multiplan WC |
$170,378.33
|
| Rate for Payer: OptumHealth Care Solutions (URN) Commercial |
$131,771.00
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$86,243.52
|
| Rate for Payer: Preferred Health Network WC |
$173,855.44
|
| Rate for Payer: Prime Health Services Medicare |
$91,418.13
|
| Rate for Payer: Prime Health Services WC |
$168,639.78
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC
|
Facility
|
IP
|
$27,921.83
|
|
|
Service Code
|
MSDRG 543
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$27,921.83 |
| Rate for Payer: Aetna of CA HMO/PPO |
$27,921.83
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$18,036.36
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$24,279.76
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$22,670.81
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,209.99
|
| Rate for Payer: EPIC Health Plan Senior |
$12,748.14
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$12,748.14
|
| Rate for Payer: InnovAge PACE Commercial |
$19,122.21
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,748.14
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,082.51
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,082.51
|
| Rate for Payer: Multiplan WC |
$22,670.81
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$12,748.14
|
| Rate for Payer: Preferred Health Network WC |
$23,133.48
|
| Rate for Payer: Prime Health Services Medicare |
$13,513.03
|
| Rate for Payer: Prime Health Services WC |
$22,439.48
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC
|
Facility
|
IP
|
$49,087.57
|
|
|
Service Code
|
MSDRG 542
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$49,087.57 |
| Rate for Payer: Aetna of CA HMO/PPO |
$49,087.57
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$31,708.57
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$42,684.68
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$39,856.09
|
| Rate for Payer: EPIC Health Plan Commercial |
$28,745.73
|
| Rate for Payer: EPIC Health Plan Senior |
$21,293.13
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$21,293.13
|
| Rate for Payer: InnovAge PACE Commercial |
$31,939.69
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21,293.13
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,532.79
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,532.79
|
| Rate for Payer: Multiplan WC |
$39,856.09
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$21,293.13
|
| Rate for Payer: Preferred Health Network WC |
$40,669.48
|
| Rate for Payer: Prime Health Services Medicare |
$22,570.72
|
| Rate for Payer: Prime Health Services WC |
$39,449.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$19,889.27
|
|
|
Service Code
|
MSDRG 544
|
| Min. Negotiated Rate |
$6,823.00 |
| Max. Negotiated Rate |
$19,889.27 |
| Rate for Payer: Aetna of CA HMO/PPO |
$19,889.27
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$12,847.66
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$17,294.95
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$16,148.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,846.82
|
| Rate for Payer: EPIC Health Plan Senior |
$9,516.16
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,516.16
|
| Rate for Payer: InnovAge PACE Commercial |
$14,274.24
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,516.16
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,751.65
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,751.65
|
| Rate for Payer: Multiplan WC |
$16,148.86
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,516.16
|
| Rate for Payer: Preferred Health Network WC |
$16,478.43
|
| Rate for Payer: Prime Health Services Medicare |
$10,087.13
|
| Rate for Payer: Prime Health Services WC |
$15,984.08
|
| Rate for Payer: United Healthcare All Other Commercial |
$10,506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,823.00
|
|
|
MS-DRG 42.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC
|
Facility
|
IP
|
$55,343.59
|
|
|
Service Code
|
MSDRG 734
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$55,343.59 |
| Rate for Payer: Aetna of CA HMO/PPO |
$55,343.59
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$35,749.70
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$48,124.68
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$44,935.61
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,158.07
|
| Rate for Payer: EPIC Health Plan Senior |
$23,820.79
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$23,820.79
|
| Rate for Payer: InnovAge PACE Commercial |
$35,731.18
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,820.79
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$31,919.86
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$31,919.86
|
| Rate for Payer: Multiplan WC |
$44,935.61
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$23,820.79
|
| Rate for Payer: Preferred Health Network WC |
$45,852.66
|
| Rate for Payer: Prime Health Services Medicare |
$25,250.04
|
| Rate for Payer: Prime Health Services WC |
$44,477.08
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$31,948.63
|
|
|
Service Code
|
MSDRG 735
|
| Min. Negotiated Rate |
$14,368.37 |
| Max. Negotiated Rate |
$31,948.63 |
| Rate for Payer: Aetna of CA HMO/PPO |
$31,948.63
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$20,637.51
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$27,781.32
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$25,940.34
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,397.30
|
| Rate for Payer: EPIC Health Plan Senior |
$14,368.37
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,368.37
|
| Rate for Payer: InnovAge PACE Commercial |
$21,552.56
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,368.37
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,253.62
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,253.62
|
| Rate for Payer: Multiplan WC |
$25,940.34
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,368.37
|
| Rate for Payer: Preferred Health Network WC |
$26,469.73
|
| Rate for Payer: Prime Health Services Medicare |
$15,230.47
|
| Rate for Payer: Prime Health Services WC |
$25,675.64
|
| Rate for Payer: United Healthcare All Other Commercial |
$24,996.00
|
| Rate for Payer: United Healthcare All Other HMO |
$24,494.00
|
| Rate for Payer: United Healthcare HMO Rider |
$24,448.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$22,398.00
|
|
|
MS-DRG 42.00: PENIS PROCEDURES WITH CC/MCC
|
Facility
|
IP
|
$59,141.42
|
|
|
Service Code
|
MSDRG 709
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$59,141.42 |
| Rate for Payer: Aetna of CA HMO/PPO |
$59,141.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$38,202.95
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$51,427.13
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$48,019.21
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,229.59
|
| Rate for Payer: EPIC Health Plan Senior |
$25,355.25
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$25,355.25
|
| Rate for Payer: InnovAge PACE Commercial |
$38,032.88
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,355.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$33,976.04
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33,976.04
|
| Rate for Payer: Multiplan WC |
$48,019.21
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$25,355.25
|
| Rate for Payer: Preferred Health Network WC |
$48,999.19
|
| Rate for Payer: Prime Health Services Medicare |
$26,876.56
|
| Rate for Payer: Prime Health Services WC |
$47,529.21
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: PENIS PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$39,515.35
|
|
|
Service Code
|
MSDRG 710
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$39,515.35 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39,515.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25,525.30
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,361.04
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$32,084.03
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,524.55
|
| Rate for Payer: EPIC Health Plan Senior |
$17,425.59
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17,425.59
|
| Rate for Payer: InnovAge PACE Commercial |
$26,138.38
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,425.59
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$23,350.29
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$23,350.29
|
| Rate for Payer: Multiplan WC |
$32,084.03
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17,425.59
|
| Rate for Payer: Preferred Health Network WC |
$32,738.81
|
| Rate for Payer: Prime Health Services Medicare |
$18,471.13
|
| Rate for Payer: Prime Health Services WC |
$31,756.65
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC
|
Facility
|
IP
|
$102,915.19
|
|
|
Service Code
|
MSDRG 273
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$102,915.19 |
| Rate for Payer: Aetna of CA HMO/PPO |
$102,915.19
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$66,479.01
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$89,491.13
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$83,560.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$58,105.96
|
| Rate for Payer: EPIC Health Plan Senior |
$43,041.45
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$43,041.45
|
| Rate for Payer: InnovAge PACE Commercial |
$64,562.18
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$43,041.45
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$57,675.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$57,675.54
|
| Rate for Payer: Multiplan WC |
$83,560.82
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$43,041.45
|
| Rate for Payer: Preferred Health Network WC |
$85,266.14
|
| Rate for Payer: Prime Health Services Medicare |
$45,623.94
|
| Rate for Payer: Prime Health Services WC |
$82,708.16
|
| Rate for Payer: United Healthcare All Other Commercial |
$62,136.00
|
| Rate for Payer: United Healthcare All Other HMO |
$52,172.00
|
| Rate for Payer: United Healthcare HMO Rider |
$36,699.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$33,623.00
|
|
|
MS-DRG 42.00: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$82,141.60
|
|
|
Service Code
|
MSDRG 274
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$82,141.60 |
| Rate for Payer: Aetna of CA HMO/PPO |
$82,141.60
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$53,060.12
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$71,427.21
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$66,693.94
|
| Rate for Payer: EPIC Health Plan Commercial |
$46,775.02
|
| Rate for Payer: EPIC Health Plan Senior |
$34,648.16
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$34,648.16
|
| Rate for Payer: InnovAge PACE Commercial |
$51,972.24
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34,648.16
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$46,428.53
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$46,428.53
|
| Rate for Payer: Multiplan WC |
$66,693.94
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$34,648.16
|
| Rate for Payer: Preferred Health Network WC |
$68,055.04
|
| Rate for Payer: Prime Health Services Medicare |
$36,727.05
|
| Rate for Payer: Prime Health Services WC |
$66,013.39
|
| Rate for Payer: United Healthcare All Other Commercial |
$42,353.00
|
| Rate for Payer: United Healthcare All Other HMO |
$35,562.00
|
| Rate for Payer: United Healthcare HMO Rider |
$25,015.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$22,918.00
|
|
|
MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES
|
Facility
|
IP
|
$74,924.93
|
|
|
Service Code
|
MSDRG 321
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$74,924.93 |
| Rate for Payer: Aetna of CA HMO/PPO |
$74,924.93
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$48,398.45
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$65,151.86
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$60,834.45
|
| Rate for Payer: EPIC Health Plan Commercial |
$42,838.67
|
| Rate for Payer: EPIC Health Plan Senior |
$31,732.35
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$31,732.35
|
| Rate for Payer: InnovAge PACE Commercial |
$47,598.53
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31,732.35
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$42,521.35
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$42,521.35
|
| Rate for Payer: Multiplan WC |
$60,834.45
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$31,732.35
|
| Rate for Payer: Preferred Health Network WC |
$62,075.97
|
| Rate for Payer: Prime Health Services Medicare |
$33,636.29
|
| Rate for Payer: Prime Health Services WC |
$60,213.69
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC
|
Facility
|
IP
|
$47,616.33
|
|
|
Service Code
|
MSDRG 322
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$47,616.33 |
| Rate for Payer: Aetna of CA HMO/PPO |
$47,616.33
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$30,758.21
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$41,405.35
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$38,661.54
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,943.24
|
| Rate for Payer: EPIC Health Plan Senior |
$20,698.70
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$20,698.70
|
| Rate for Payer: InnovAge PACE Commercial |
$31,048.05
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,698.70
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,736.26
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27,736.26
|
| Rate for Payer: Multiplan WC |
$38,661.54
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$20,698.70
|
| Rate for Payer: Preferred Health Network WC |
$39,450.55
|
| Rate for Payer: Prime Health Services Medicare |
$21,940.62
|
| Rate for Payer: Prime Health Services WC |
$38,267.03
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC
|
Facility
|
IP
|
$60,865.32
|
|
|
Service Code
|
MSDRG 250
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$60,865.32 |
| Rate for Payer: Aetna of CA HMO/PPO |
$60,865.32
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$39,316.51
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$52,926.16
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$49,418.90
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$35,169.88
|
| Rate for Payer: EPIC Health Plan Senior |
$26,051.76
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$26,051.76
|
| Rate for Payer: InnovAge PACE Commercial |
$39,077.64
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,051.76
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$34,909.36
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,909.36
|
| Rate for Payer: Multiplan WC |
$49,418.90
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$26,051.76
|
| Rate for Payer: Preferred Health Network WC |
$50,427.45
|
| Rate for Payer: Prime Health Services Medicare |
$27,614.87
|
| Rate for Payer: Prime Health Services WC |
$48,914.63
|
| Rate for Payer: United Healthcare All Other Commercial |
$32,556.00
|
| Rate for Payer: United Healthcare All Other HMO |
$35,635.00
|
| Rate for Payer: United Healthcare HMO Rider |
$27,066.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$24,796.00
|
|
|
MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC
|
Facility
|
IP
|
$41,406.00
|
|
|
Service Code
|
MSDRG 251
|
| Min. Negotiated Rate |
$7,978.00 |
| Max. Negotiated Rate |
$41,406.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$41,126.07
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26,565.76
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$35,761.66
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$33,391.84
|
| Rate for Payer: Cigna of CA PPO |
$14,790.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$24,403.14
|
| Rate for Payer: EPIC Health Plan Senior |
$18,076.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$18,076.40
|
| Rate for Payer: InnovAge PACE Commercial |
$27,114.60
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,076.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$24,222.38
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$24,222.38
|
| Rate for Payer: Multiplan WC |
$33,391.84
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$18,076.40
|
| Rate for Payer: Preferred Health Network WC |
$34,073.31
|
| Rate for Payer: Prime Health Services Medicare |
$19,160.98
|
| Rate for Payer: Prime Health Services WC |
$33,051.11
|
| Rate for Payer: United Healthcare All Other Commercial |
$41,406.00
|
| Rate for Payer: United Healthcare All Other HMO |
$29,656.00
|
| Rate for Payer: United Healthcare HMO Rider |
$22,531.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$20,641.00
|
|
|
MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR
|
Facility
|
IP
|
$59,433.57
|
|
|
Service Code
|
MSDRG 041
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$59,433.57 |
| Rate for Payer: Aetna of CA HMO/PPO |
$59,433.57
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$38,391.66
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$51,681.17
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$48,256.41
|
| Rate for Payer: EPIC Health Plan Commercial |
$34,388.94
|
| Rate for Payer: EPIC Health Plan Senior |
$25,473.29
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$25,473.29
|
| Rate for Payer: InnovAge PACE Commercial |
$38,209.93
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,473.29
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$34,134.21
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34,134.21
|
| Rate for Payer: Multiplan WC |
$48,256.41
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$25,473.29
|
| Rate for Payer: Preferred Health Network WC |
$49,241.23
|
| Rate for Payer: Prime Health Services Medicare |
$27,001.69
|
| Rate for Payer: Prime Health Services WC |
$47,763.99
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC
|
Facility
|
IP
|
$99,277.90
|
|
|
Service Code
|
MSDRG 040
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$99,277.90 |
| Rate for Payer: Aetna of CA HMO/PPO |
$99,277.90
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$64,129.47
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$86,328.28
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$80,607.57
|
| Rate for Payer: EPIC Health Plan Commercial |
$56,121.98
|
| Rate for Payer: EPIC Health Plan Senior |
$41,571.84
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$41,571.84
|
| Rate for Payer: InnovAge PACE Commercial |
$62,357.76
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$41,571.84
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$55,706.27
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$55,706.27
|
| Rate for Payer: Multiplan WC |
$80,607.57
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$41,571.84
|
| Rate for Payer: Preferred Health Network WC |
$82,252.62
|
| Rate for Payer: Prime Health Services Medicare |
$44,066.15
|
| Rate for Payer: Prime Health Services WC |
$79,785.04
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
|
MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$46,258.27
|
|
|
Service Code
|
MSDRG 042
|
| Min. Negotiated Rate |
$7,611.00 |
| Max. Negotiated Rate |
$46,258.27 |
| Rate for Payer: Aetna of CA HMO/PPO |
$46,258.27
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$29,880.96
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,224.43
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$37,558.88
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,202.49
|
| Rate for Payer: EPIC Health Plan Senior |
$20,149.99
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$20,149.99
|
| Rate for Payer: InnovAge PACE Commercial |
$30,224.99
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20,149.99
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,000.99
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27,000.99
|
| Rate for Payer: Multiplan WC |
$37,558.88
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$20,149.99
|
| Rate for Payer: Preferred Health Network WC |
$38,325.39
|
| Rate for Payer: Prime Health Services Medicare |
$21,358.99
|
| Rate for Payer: Prime Health Services WC |
$37,175.63
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,844.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10,823.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,611.00
|
|
